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General NPI Number Information
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NPI Number | 1659357010
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Entity Type | Individual
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Provider Name | DAVID W HAYES D.O.
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Gender | Male
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 10/18/2018
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Provider Practice Location Address
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Address Line | 2023 PROFESSIONAL CENTER DR
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City | ORANGE PARK
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State | FL
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Zip | 32073-4472
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Country | US
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Telephone | 904-272-2020
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Fax | 904-276-4386
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Provider Business Mailing Address
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Address Line | PO BOX 476
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City | HOOD RIVER
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State | OR
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Zip | 97031-0016
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Country | US
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Telephone | 619-846-8658
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | DOS-1052
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | OS12357
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License Number State | FL
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